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News Roundup: Doc Pay, Quality Reporting, and a Tough New Law

Jacqueline Fellows, for HealthLeaders Media, May 1, 2014

Three things to know this week: How much a physician earns is largely dependent on practice size and geographic location, quality reporting is expanding, and a new Tennessee law is tough on drug addicted mothers.

This week I've rounded up some news items that caught my eye because they illustrate some of the the quality reporting, financial, and legislative forces affecting physicians and their practices.

Hospital System Issues Texas-sized Quality Report—On Itself
In addition the new safety scores announced by the Leapfrog Group this week, Texas Health Resources, the nonprofit, faith-based hospital system in north Texas has unveiled a quality and safety report that it says will show both the good and the bad at each of its wholly-owned hospitals.

The public report includes clinical outcomes on more than two dozen indicators, including cancer, pneumonia, patient satisfaction, and heart failure, among others. Under the heading of each condition, Texas Health Resources lists quality indicators from third-party organizations such as the CDC, CMS, the Joint Commission, and others.


Hospital Rankings: The More, the Murkier


"We never have really had a comprehensive stewardship report for the community around how we perform our work," Dan Varga, MD, chief clinical officers and senior executive vice president told me.

"The report will be somewhere between 300 and 400 indicators, all of them are national consensus indicators that are owned by some other indicator developer. All of them have transparent, non-proprietary rules for the gathering and collection reporting of the indicators. We'll aggregate those into a single report and put them out on the web for the public to have access to."

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